340B Drug Pricing Program Database
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CH05847U Columbus Neighborhood Health Center, Inc. (Active)
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Main Details
Name
Columbus Neighborhood Health Center, Inc.
Subdivision Name
PrimaryOne Health Mobile Health Center NE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-033696
340B ID
CH05847U
Grant Number
H80CS00118
Additional Details
Current Program Status
Active
Registration Date
11/29/2021
Participating Start Date
11/29/2021
Participating Approval Date
11/29/2021
Last Recertification Date
2/19/2025
Contacts
Authorizing Official
PrimaryOne Health
Nichole Gomez Otayco, COO
(217) 273-7718
Primary Contact
PrimaryOne Health
Rebecca Williamson, 340BProgram Manager
(614) 859-1904
Addresses
Street Address
3433 Agler Rd
Columbus, OH 43219-3387
Billing Address
Columbus Neighborhood Health Center, Inc.
2780 Airport Drive, Suite 100
Columbus, OH 43219
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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